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THE C.lTY OF EVEREI T <br />/ ,. <br />Date G_ f � ; /1G�� _ <br />Skelch of Proposed Sewer Connection for Buildinq Situated on LoL_f� . __ Block .>�_ _ __ <br />. <br />Division or Addition_ ����'� � � ���/f�+ _ _ <br />--- - --�/ - ---- - <br />N��.__ ��2P.Z �_rif�E1 •�— -----Ownedby. �-/ anr._ _a. Lf/�/�e., y--- - -- <br />� <br />A:.�plication and Connection by_ �nh4 -�` �✓�i�a.�.s -k.,,.. n,�� r�.. /icn�(^�(cd �'i ti.�i.r �.•,�� !e..,. -�-��• <br />,.., -- —� -- - --(" - - �.icensee <br />��/_' �nc.. -1f //�S % �/� , ..... .ty y..v�r �..,�%iw�_3�i �^ . _ <br />Rom�ke:- -- -- - — -- - - _ -v - - -- -- <br />DcpIL ol Sawor al Connectlan I <br />_�J <br />i. L I �` �/� � <br />C.� lb b 11,� �'c,!`i�Y ,f:�,�,'_ <br />V <br />r <br />y „ (� . ¢J . � �,ti�_ <Cu:..�. <br />�w <br />(ld�-�- �?,.�. � <br />� <br />� <br />l. � <br />�����.(j�/ �q��J / /� _�` I <br />. r ��"N-�1-Lr-- ��-}- <br />I <br />� -- <br />- I --� �4'�»f'_ `',�-T� -:-' .�'�- -- <br />� r <br />ti <br />� <br />� <br />r., <br />� <br />�,1 <br />� <br />L- <br />� <br />Connection meade the �Z3�' __day of /' ��� 4:'_�. <�- IS �' 3_. Exc:,i:ned and Approved by_ _—LL✓ _��+' �'' <br />' '_ ___ U i,A-l.q<� /� -�LC.I.' : :� � �7ty En9ineer <br />- r -- - � � _ i �. ol Streets ocd Sewcre ➢ � � F � —l�+"� <br />CK; lJ � _._ _. _ _. ._ _ <br />BY . _ ��� . Inepu.to� G 1 ( 5 V � __ _.. __—._ . --_ _— —_ — <br />